Individual
MRS. CARRIE ELLEN THEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2501 OAKINGTON ST, ABERDEEN PROVING GROUND, MD 21005-5131
(410) 278-1928
(410) 278-1944
Mailing address
2501 OAKINGTON ST, ABERDEEN PROVING GROUND, MD 21005-5131
(410) 278-1928
(410) 278-1944
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05500300
NJ
164X00000X
Licensed Vocational Nurse
189425
TX
Other
Enumeration date
01/09/2007
Last updated
09/11/2025
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